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Part 8.OPERATOR INFORMATION(For disposal site,if operator is different from land owner,attach lease or other agreement) <br /> TYPE OF BUSINESS: <br /> ❑SOLE PROPRIETORSHIP ❑PARTNERSHIP DCORPORATION 0GOVERNMENTAGENCY <br /> FACILITY OPERATOR(S) SSN OR TAX ID ri: <br /> (Name):Forward,Inc. 941544481 <br /> ADDRESS.CITY.STATE,ZIP: 9999 S.Austin Road,Manteca.CA 95338 TELEPHONE :(209)982-4298 <br /> FAX P. (209)982-1009 <br /> E-MAIL ADDRESS: Kavin.Basso@avAn.com <br /> CONTACT PERSON(Print Name): <br /> Kevin Basso <br /> ADDRESS WHERE LEGAL NOTICE MAY BE SERVED: <br /> 9999 S.Austin Road,Manteca.CA 95338 <br /> Part 9.SIGNATURE BLOCK <br /> Owner: <br /> I certify under penalty of perjury that the information i provided for this application and for any attachments is true'and accurate to the best of my knowledge and <br /> beflef. i am aware that the operator intends to operate a solid waste facility at the site sired above pursuant to this application and understand that i may be <br /> responsible for thp site should Nie operator fail to meet applicable requirements. <br /> SIG 'URE(LAP9 OWNER OR AGENT): <br /> Kevin Basso <br /> PRINTED NAME: <br /> General Manger <br /> 71TLE: DATE: <br /> Oeerator: <br /> I certify under pen y perjury tta information contained in this application and all attachments are true and accurate to the best of my knowledge and belief. <br /> St[i E(FACILITY aERATOR OR AGENT): <br /> Kevin Basso <br /> PRINTED NAME: <br /> General Manager <br /> TITLE: DATE: <br /> Part 10.OTHER (Attach additional sheets to explain any responses that need clarification). <br /> Page 4 <br />